| NPI | 1134578404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 340743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 639391) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-01-26 |